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    OpenPayerNPI Medicare & MedicaidPedro Reyes Nieves
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    Pedro Reyes Nieves — Billing Profile & Reimbursement Data

    NPI 1407901994 · San Juan, PR · Diagnostic Radiology Physician

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    Pedro Reyes Nieves is a diagnostic radiology physician provider located in San Juan, Puerto Rico. This profile covers 5 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationPedro Reyes Nieves
    AddressJose Marti #56 Floral Park
    CitySan Juan
    StatePR
    ZIP00917
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedJanuary 24, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$3.2K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    74220The provider uses imaging such as fluoroscopy to visualize the patient’s esophagus, typically while the patient swallows a barium sulfate compound; he views the live images and also records the…10$70$880
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…30$20$770
    73560In this procedure, the provider takes one or two X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.30$30$730
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.20$20$510
    72100The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays…20$20$380

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    5 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    7422011010$70$870
    73560225030$20$670
    710464911030$10$620
    72100295020$20$440
    73030174020$20$390

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Pedro Reyes Nieves, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rene BaezPRNuclear Imaging & Therapy Physician$86.3K$92.1K
    Jannisse Pagan CardonaPRNuclear Medicine Physician$74.7K$0
    Ricardo Sein-najeraPRNuclear Imaging & Therapy Physician$66.4K$0
    Antonio DiazPRMammography Clinic/Center$51.2K$0
    Juan Igartua PontonPRCardiovascular Disease Physician$49K$0
    Iliana Alvarez RamirezPRDiagnostic Radiology Physician$35.1K$10.1K
    Carlos Balsalobre AlonsoPRDiagnostic Radiology Physician$28.9K$0
    Rochelly Medina-sotoPRDiagnostic Radiology Physician$24.8K$0
    Elizabeth DuranPRDiagnostic Radiology Physician$20K$0
    Rafael Vicens RodriguezPRBody Imaging Physician$10.9K$0

    Nearby Providers

    Other providers in the same ZIP code as Pedro Reyes Nieves, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Puerto Rico Pathology Associates PPRAnatomic Pathology & Clinical Pathology Physician$0$6.8M
    Metro Pavia At Home LLCPRHome Health Agency$0$5.6M
    Centro De Rehabilitacion Y Electrodiagnostico De Hato Rey, LLCPRPhysical Medicine & Rehabilitation Physician$0$1.8M
    Retina Consultants Of P.r.PROphthalmology Physician$0$1.7M
    Er Specialized Care LLCPREmergency Medical Services (Emergency Medicine) Physician$0$1.5M
    Aid System LLCPRDiagnostic Radiology Physician$0$1.3M
    Rvp Dental Medical Center, LLCPRDental Clinic/Center$0$948.1K
    Oncology & Body Imaging PscPRDiagnostic Radiology Physician$0$905.6K
    Endourological Institute IncPRAmbulatory Surgical Clinic/Center$16.9K$609.4K
    Mirelis AcostaPRHematology & Oncology Physician$6.3K$215.1K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Puerto Rico Distribution
    Pedro Reyes Nieves — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico